The maternal management of children, in health and diseaseBull, Thomas
Science
The maternal management of children, in health and disease
Bull, Thomas
Child care
Aperient medicine, too, is sometimes unwittingly repeated to remove
those symptoms which it has itself produced. Some incidental pain and
uneasiness, some slightly greenish appearance of the motions, leads the
mother to believe that more purging is necessary, when, in fact, both
circumstances have probably been induced by the irritation caused by
the purgatives already too freely administered. How frequently is this
the case, during the first week or ten days of the infant's life, when
the nurse doses the child with tea-spoonful after tea-spoonful of
castor oil, for the relief of pain, which her repeated doses of
medicine have alone created.
The bowels of an infant in health should be relieved two, three, or
four times in the twenty-four hours. The stools should be of the
consistence of thin mustard, and of a lightish yellow colour, having
little smell, free from lumps or white curdy matter, and passed without
pain, or any considerable quantity of wind. And a parent is only
justified in giving aperient medicine, when any deviation from these
conditions exists; and only then, when what may be called healthy
costiveness is present, viz. either the stools less frequent than they
ought to be, or lumpy and partially solid. Then, the only purgative
medicines that can be given with safely to an infant, without medical
sanction, are, castor oil, manna, rhubarb, and magnesia; the
application of the lavement, and the aperient liniment.
CASTOR OIL
This is one of the mildest aperients, prompt in its action, and
effective in clearing out the contents of the bowels; it is a
medicine, therefore, particularly applicable to infants.
During teething there is generally much torpor of the bowels; here,
then, castor oil is a very appropriate and useful artificial means of
increasing the frequency of the alvine discharges.
Then, again, no purgative can be so much relied on for overcoming
habitual costiveness as castor oil; it may for this purpose be given
daily for some weeks, gradually reducing the dose until only a few
drops be taken; after which the bowels generally continue to act
without further artificial assistance. Even its occasional
administration leaves the bowels in a relaxed state; a great advantage
over other purgatives, which generally cause, after their action is
passed off, a confined state.
The proper dose will depend upon the age, and the known effect of
aperient medicine upon the childsome requiring more, others less:
Under one year, one small tea-spoonful.
Under three years, two ditto.
Under six years, three ditto.
Under ten years and upwards, a table spoonful. The quantity being more
or less according to the facility with which the bowels are purged.
Public-domain text, read in full here on John Shaqi.
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